EP 1110-1-31
31 Aug 01
FORM 1
XRF READING/RESULTS
Address/Unit No.___________________________________________ Date:______________________
Page____of_____
Room Equivalent ____________________________________________________________________________________________
XRF Serial No._________________________
Inspector Signature___________________________________________________
Correction
Classification
Laboratory
Final
Substrate
Component
Color
Test Locations
XRF Reading
Result
Unit
Value
(pos, neg, inc)
Result
Classification
mg/cm2
%
mg/cm2
%
mg/cm2
%
mg/cm2
%
mg/cm2
%
mg/cm2
%
mg/cm2
%
Figure B-1: XRF Reading/Results Form
B-7
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